Provider Demographics
NPI:1093345589
Name:QUEST PROGRAMS, INC.
Entity Type:Organization
Organization Name:QUEST PROGRAMS, INC.
Other - Org Name:EAGLE EYE - VISTA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-467-4250
Mailing Address - Street 1:PO BOX 5715
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-0715
Mailing Address - Country:US
Mailing Address - Phone:510-467-4250
Mailing Address - Fax:510-580-9413
Practice Address - Street 1:1089 LEA DR
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-3746
Practice Address - Country:US
Practice Address - Phone:510-467-4250
Practice Address - Fax:510-580-9413
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUEST PROGRAMS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-23
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children